Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $760.14 / $3,119.00	Facility		$358.70	$760.14	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.70 / $458.81 / $1,813.91	Professional		$358.70	$458.81	$1,813.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.05 / $827.78 / $2,274.00	Professional		$465.05	$827.78	$2,274.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $884.59 / $884.59 / $884.59	Facility		$884.59	$884.59	$884.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.13 / $1,436.33 / $2,203.37	Facility		$1,229.13	$1,436.33	$2,203.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $1,339.09 / $2,116.42	Professional		$565.00	$1,339.09	$2,116.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $577.36 / $1,051.26	Facility		$358.70	$577.36	$1,051.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.17 / $726.36 / $7,160.00	Facility		$381.17	$726.36	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.62 / $1,081.15 / $3,427.04	Professional		$512.62	$1,081.15	$3,427.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $272.80 / $879.93	Professional		$52.59	$272.80	$879.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $572.74 / $1,051.26	Facility		$358.70	$572.74	$1,051.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $1,100.08 / $1,592.90	Professional		$804.08	$1,100.08	$1,592.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $563.62 / $563.62 / $2,551.32	Facility		$563.62	$563.62	$2,551.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.77 / $1,960.56 / $3,427.04	Professional		$763.77	$1,960.56	$3,427.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.66 / $2,329.03 / $2,963.99	Professional		$1,430.66	$2,329.03	$2,963.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $1,012.68 / $2,186.32	Professional		$507.78	$1,012.68	$2,186.32